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Pregled razvoja in biomehanične osnove intramedularne učvrstitve zlomov = Overwiev of the development and biomechanical basis of intramedullary nailingČretnik, Andrej ; Pandurovič, DeanIntramedularna učvrstitev zlomov je v marsičem popolnoma spremenila načela zdravljenja zlomov kosti. Dobro moramo poznati biomehanične osnove in načela uporabe žebljev in prevrtanja kosti. Čeprav so ... intramedularni žeblji kovinski in bolj togi od kosti, na naravni način celjenja zloma s kalusom in na preoblikovanje kosti, kot npr. učvrstitev s ploščami in vijaki, v tolikšni meri ne vplivajo. Povrtavanje in vstavitev žebljev poškoduje in iztisne vsebino medularnega kanala v krvni obtok in s tem na embolizacijo v drugih organih. S tem se za 30 do 80% zmanjša tudi pretok skozi operirano kost. To povzroči hiperemično reakcijo v ohranjenih žilah in ponovno vzpostavitev prekrvavitve kosti, na kar poleg ohranitve kostnega pokrova vpliva tudi debelina vstavljenega žeblja. Z zaprto tehniko intramedularne učvrstitve lahkov 98% dosežemo zaceljenje zlomov. Uporaba metode intramedularne učvrstitve zlomov z žeblji brez povrtanja ima prednost predvsem v večji ohranitvi prekrvavitve kosti, uporaba željev s povrtanjem, ki so čvrstejši, paprinaša bolj togo učvrstitev in zgodnejšo dokončno zacelitev zlomov.Source: Intramedularna učvrstitev zlomov : [zbornik predavanj] (str. 15-21)Type of material - conference contribution ; adult, seriousPublish date - 2001Language - slovenianCOBISS.SI-ID - 830271
Author
Čretnik, Andrej |
Pandurovič, Dean
Topics
Fracture fixation, intramedullary |
Methods |
Osteosynthesis
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Database name | Field | Year |
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Čretnik, Andrej | 21411 |
Pandurovič, Dean | 18985 |
Source: Personal bibliographies
and: SICRIS
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